When assessing a patient with a fracture, what is the priority nursing consideration?
Monitoring the patient's pain level
Assessing the neurovascular status of the affected limb
Evaluating the range of motion in nearby joints
Instructing the patient about cast care
The Correct Answer is B
Assessing the neurovascular status of the affected limb is the priority nursing consideration in a patient with a fracture. Checking for pulses, capillary refill, sensation, and motor function helps identify neurovascular compromise, which requires immediate intervention to prevent potential tissue damage and complications.
a. Monitoring the patient's pain level is essential, but it is not the priority over assessing neurovascular status. Pain management can be addressed after ensuring the limb's vascular and neurological integrity.
c. Evaluating the range of motion in nearby joints is important for overall assessment, but it is not as critical as assessing neurovascular status in a patient with a fracture.
d. Instructing the patient about cast care is necessary, but it is not the priority consideration when the patient's neurovascular status is at risk.
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Correct Answer is D
Explanation
A closed fracture is a fracture where the skin remains intact over the fractured bone, and there is no open wound at the site of the fracture.
a. A fracture where the bone breaks through the skin: This type of fracture is known as an open or compound fracture, where the bone pierces through the skin.
b. A fracture where the bone is out of alignment: This type of fracture is known as a displaced fracture, where the bone fragments are not aligned properly.
c. A fracture where the bone is completely broken in two: A complete fracture refers to a fracture that results in two separate bone fragments, but it does not necessarily involve the skin.
Correct Answer is A
Explanation
An oblique fracture involves a break in the bone that is at an angle to the long axis of the bone. It is often the result of a diagonal force applied to the bone.
b. Spiral fracture: A spiral fracture occurs when the bone is twisted, causing a spiral-shaped fracture line. It often results from a twisting force applied to the bone and is not specifically at an angle to the long axis of the bone.
c. Transverse fracture: A transverse fracture is a type of fracture where the fracture line is perpendicular to the long axis of the bone and is not at an angle.
d. Greenstick fracture: A greenstick fracture is an incomplete fracture seen in children, where the bone bends and partially breaks on one side but remains intact on the other side. It is not specifically at an angle to the long axis of the bone.
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